Provider Demographics
NPI:1720384555
Name:LENCZYK, JENNIFER (OTR/L, CKTP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LENCZYK
Suffix:
Gender:F
Credentials:OTR/L, CKTP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:SCHWERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4806 TIMBER COMMONS DR
Mailing Address - Street 2:STE. A
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-7161
Mailing Address - Country:US
Mailing Address - Phone:419-627-2526
Mailing Address - Fax:419-627-4263
Practice Address - Street 1:4806 TIMBER COMMONS DR
Practice Address - Street 2:STE. A
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-7161
Practice Address - Country:US
Practice Address - Phone:419-627-2526
Practice Address - Fax:419-627-4263
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT 003035225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist